Breaking the Silos: How the PACE-It Model Improves Outcomes in Multimorbid Patients through Integrated Social and Clinical Care

Breaking the Silos: How the PACE-It Model Improves Outcomes in Multimorbid Patients through Integrated Social and Clinical Care

The PACE-It pilot program demonstrates that integrating health and social care via multidisciplinary teams and technology significantly improves glycemic control, lipid management, and patient activation for individuals with complex needs, offering a scalable model for bridging systemic silos in primary care.
Bridging the Health-Social Gap: The PACE-It Model Shows Promise for Complex Multimorbidity Management

Bridging the Health-Social Gap: The PACE-It Model Shows Promise for Complex Multimorbidity Management

A pilot randomized controlled trial demonstrates that the PACE-It program, an integrated multidisciplinary team utilizing technology-assisted communication, significantly improves glycemic control, lipid management, and patient activation in individuals with complex diabetes and psychosocial needs.